Change Healthcare Implementation Specialist in Des Moines, Iowa
Overview of Position After a client (Payer, TPA or insurance company) has signed a contract with Change Healthcare, this individual will guide the client through a 1-6 month implementation schedule to begin processing the client’s live data through our system. Larger revenue projects will include the assignment of a certified project manager. Smaller projects will require the implementation specialist to perform multiple responsibilities focused around three key skills, project management, client communications and business analysis.
What will be my duties and responsibilities in this job?
Manage the implementation of new clients or existing clients adding new business or modifying current business
Initial contact with client to “kick off” the implementation process; this includes discussing products to be implemented per their signed contract and setting expectations with the client to complete the implementation as a team
Collect and analyze client’s data and requirements
Complete mapping and scope document for use by the development (AFF) team where applicable.
Open, read and understand data files
Develop statement of work in collaboration with internal IT and the client when required by client/project.
Develop and manage internal and external project plans with aggressive timelines
Interact with IT to develop code for interpreting client data
Set up new client in Change Healthcare’s Client Access System, customizing business settings to meet the client’s business requirements.
Design forms using both Quadient and proprietary software.
Work with client to determine what testing and test cases need to be covered during the testing and QA phase of the implementation
Test client’s data applying form and group settings to accomplish client’s desired output, such as checks, explanations of benefits, member letters, etc.
Manage all communication with the client including conducting meetings and conference calls
Consult with managerial and IT business analyst personnel to create user stories where new system solutions are needed to accommodate client’s specific requirements.
Generate process documentation for each implementation to be used for the turnover of the client to the Client Services department and for future business growth
Ensure successful processing of clients’ live data prior to concluding implementation and turning the client over to the Client Services department.
Understand medical claims, insurance related documents, print and electronic processing solutions
Understand Payer Services technical systems and software.
Understand Payer Services products including EOBs, checks, ID cards, invoices, letters, eEOBs, web portals, data WebAPI, commission statements, capitation statements, member booklets, SPDs, Medicare part D, Medicare documents, CFA, UBs, ADA forms, EFT, 835s and virtual credit cards
Periodically visit client locations
Adhere to security policies and procedures
Carry out responsibilities with highly ethical behavior, especially as it relates to HIPAA regulations
What are the requirements needed for this position?
College degree required or 5 years of Healthcare implementation experience
Proficient in Microsoft Office
Access to high-speed internet for remote locations
What other skills/experience would be helpful to have?
Working knowledge in software databases such as Oracle, SQL Server, FoxPro and basic programming and query knowledge preferred
Quadient software experience highly preferred
Knowledge of data file types such as XML, delimited, fixed data, PDF, print files and vendor files preferred
Strong technical problem-solving skills
Technical agility to adapt to new computer applications quickly
Customer Service Skills
Able to communicate with various organizational levels and departments
Able to work on multiple projects/priorities in a deadline-driven environment
Excellent communication and interpersonal skills
Knowledge of 028 file creation, form design and basic system knowledge preferred
Knowledge of the proprietary Client Access System and Multi-Channel Distribution System preferred
College Degree preferred or equivalent work experience
Medical Billing Experience preferred
Healthcare and Insurance Industry Experience preferred
What are the working conditions and physical requirements of this job?
- General office demands
How much should I expect to travel?
None to minimal travel
Employees in roles that require travel will need to be able to qualify for a company credit card or be able to use their own personal credit card for travel expenses and submit for reimbursement.
Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!
COVID Vaccination Requirements
We remain committed to doing our part to ensure the health, safety, and well-being of our team members and our communities. As such, we require all employees to disclose COVID-19 vaccination status prior to beginning employment and we may require periodic testing for certain roles. In addition, some roles require full COVID-19 vaccination as an essential job function. Change Healthcare adheres to COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance.
Equal Opportunity/Affirmative Action Statement
Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at https://www.eeoc.gov/employers/eeo-law-poster and the supplemental information at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf.
If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to email@example.com with "Applicant requesting reasonable accommodation" as the subject. Resumes or CVs submitted to this email box will not be accepted.
Click here https://www.dol.gov/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf to view our pay transparency nondiscrimination policy.
California (US) Residents: By submitting an application to Change Healthcare for consideration of any employment opportunity, you acknowledge that you have read and understood Change Healthcare’s Privacy Notice to California Job Applicants Regarding the Collection of Personal Information (https://www.changehealthcare.com/privacy-notice/privacy-notice-to-california-job-applicants) .
Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.
Change Healthcare is an equal opportunity employer. All qualified applicant will reveive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status.
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